Individual provider Active NPI

J Alfred Moretz III, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New Hartford, NY
National Provider Identifier
1851385074
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
214285 Issued in NY
Practice address
1729 Burrstone Rd.
New Hartford, NY 13413
Phone
(315) 798-1431
Fax
(315) 798-1444
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 214285 NY Primary

Addresses

Primary practice location

1729 Burrstone Rd.
New Hartford, NY 13413

Mailing address

1729 Burrstone Rd.
New Hartford, NY 13413
Phone (315) 798-1431

Other identifiers 1

IdentifierTypeStateIssuer
01959008MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1851385074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD.",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-798-1431",
            "fax_number": "315-798-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD.",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-798-1431",
            "fax_number": "315-798-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETZ",
        "first_name": "J",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "214285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01959008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.